Septoplasty or rhinoplasty for crooked nose?

Septoplasty alone will not fix a crooked nose. This will require rhinoplasty as well to either straighten the bones and or cartilagenous structures of the nose.  A closed rhinoplasty is always an option, and can be used to fix the deviation without external scars.

A septoplasty is a surgery performed to correct a deviated (or crooked) septum. A true "septoplasty" does not involve changing the shape of the nose. The septum is the piece of cartilage that separates one side of the nose from the other. Normally, the septum is straight. When it is crooked, it is... more

A septoplasty will fix the internal breathing component of the nose and will not straighten the external portion. The septoplasty is simply performed for improving airflow dynamics and breathing through the nose. If the external portion of the nose is crooked, the nasal bones will have to be reset through a... more

Nasal surgery is complex and there is no way to tell without more information if you need septo or rhino, or both.  Septoplasty may be required to not only straighten your nose, but also improve your breathing.  Then there is the issues of your turbinates, which may also need to be addressed at the... more

In general, where there's a crooked or skewed external appearance, there's also a skewed or deviated septum. Typically, both the septum and the external framework of the nose need to be addressed at the same time. This, of course, means septoplasty and rhinoplasty (a.k.a., septorhinoplasty). Closed approaches... more

A septoplasty in and of itself will not straighten your nose but as part of a rhinoplasty it can play an important role. The boney/cartilagenous external armiture(framework) of your nose needs to be corrected as part of the overall proceedure(rhinoplasty). See the pictures on my site which show the exact same... more

 In general the key to a straight nose is a straight septum.  Your septum must be aligned in the midline and straightened first.  Then a rhinoplasty including a re-alignment of the nasal bones must also be performed. During a physical examination the exact shape and structure of your nasal... more

Hi Carter, You need to decide if the external appearance of your nose bothers you. If it does, other than the crookedness, then you need to decide what features are bothersome, and what you would like it to look like after rhinoplasty. You should only make your nose smaller if it is something that has troubled... more

The nose is like a T-Pee.  The septum is in the middle and supports the sides.  Looking at your nose, the whole pyramid is off, and the tip could use some refinement as well.  My opinion, without benefit of exam, you will not achieve your goals with septo alone. There are many fine rhinoplasty... more

It is tough to tell accurately from just a single picture and no physical examination. Your nasal bones appear deviated. This should typically be repaired in addition to the septum. Also of any other aspects of the nasal appearance bother you, that would be the time. It would be a shame to throw away... more